2008-06-16_REVISION - M1973007SG ‎(3)‎

• Permit No: M1973007SG
• IBM Index Class Name: REVISION
• Doc Date: 6/16/2008
• Doc Name: Proof of Publication and Return Receipts for Notices sent to Adjacent Landowners
• From: SES
• To: DRMS
• Type & Sequence: AM3
• Email Name: JLE
• Media Type: D
• Archive: No

I
¦ Complete items 1, 2, and 3. Also complete
Item 4 If Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mallpiece,
or on the front If space permits.
1. Article Addressed to:
JAMES A LEWIS
4075 BRADLEY RD
COLORADO SPRINGS CO
80911-3288
2. Article Number
(rmrww Iran service label)
PS Form 3811, February 2o04
A. Signature Complete items 1, 2, and 3. Also complete
? Age item 4 if Restricted Delivery Is desired.
? Addressee Print your name and address on the reverse
by (Hinted Name)
B- C. Date of so that we can return the card to you.
De". Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from hem 1 T ? Yes Article Addressed to:
If YES, enter delivery address be low: 0 No
IVAN A DORANTES
3227 S ELM AVE
FRESH+10 CA 93706-5622
A. Signature
X 1 ,
0 Agent
B. Re4tvred by (Printed Name) C. Date of Delivery
D. Is delivery address diffi rent from hem I? ? Yes
H YES, enter delivery address below: ? No
3. se #6 Type 3. SW1ce Type
Certified Mail 0 Evpess Mail Certified Mail 0 Express Mail
? Registered 0 Retum Receipt for Merchandise ? Registered ? Return Receipt for Merchandise
0 Insured Mail D
? C
O 0 Insured mail O C.O.D.
.
.
.
4. Restricted Delivery? (Extra Fee) 0 Yes 4. Restricted Delivery? Pit Fee) 0 Yes
7006 2152 0201 7307 1174 Article Number
(Trartster I?om swvke label) 7006 2150 0201 7307 1440
Domestic Retum Receipt 112595-02-M-15403 Form 3811. February 2004 Domestlc Rehm Receipt 102595o244-1540

I U.S. Postal Service-i.
CERTIFIED MAIL,. RECEIPT
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r>-1 Postage $ $0.58 0
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Certified Fee $2.65 t2
M Return Receipt Fee Poet e
O (Endorsement Required) $2.15 O k(ere t- '
Restricted Delivery Fee $0.00
0 (Endorsement Required)
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ra Total Postage & Fees $ $5.38
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Street Apt. No.; _
or PD Box No.-_ -
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City Stets, fP+4 r
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PS Form 3800. August 2006 See Reverse for instructions
CERTIFIED MAI LT. R ECEIPT
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M
i? Postage $ $0.58 l//\

Certified Fee $2,(?' , ;. 01
il> 1
M Return Receipt Fee
(Endorsement Required)
$2.15 .
'r tD Postm
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Restricted Delivery Fee
$0
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Ul (Endorsement Required) .
a Total Postage & Fees $ $5.38 05/06/-M
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Sent Tom
l7 Street, Apt No., orPOBoxNo. L
City, StatQ21P+4 / A
PS Form 3800. August 2006 See Reverse for instructions